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Hematology
Overall by section
Question | Answer |
---|---|
Which cells are infected by EBV? | B cells |
Which receptor is used by EBV to infect B cells? | CD21 |
Which virus is known to infect B cells via the CD21 receptor? | EBV |
What are the PBS findings in Spherocytosis? | Spherocytes |
Spherocytes and elevated bilirubin reflecting hemolysis. Dx? | Spherocytosis |
What is the result of the mutation in Hereditary Spherocytosis proteins? | Increased RBC flexibility and homolysis |
Which skeleton usually has the most active haematopoietically red bone marrow? | Axial skeleton of young adults |
What is a contraindication to use tPA in a patient with an ischemic stroke? | Blood pressure > 185/110 mm Hg |
Which genetic process or phenomenon is evidenced by A and B blood types? | Codominance |
How are the nuclei of PMNs described? | Multilobular and azurophilic nuclei |
Which type of cells are the first to respond to a gonococcal infection? | PMNs |
What is the definition of PMNs? | Immune cell that has granules (small particles) with enzymes that are released during infections, allergic reactions, and asthma |
What are types of PMNs? | Neutrophils, Eosinophils, and basophils |
On which cells is GpIIb/IIIa receptor found? | Platelets |
What is the role of GpIIb/IIIa in platelet aggregation? | Binding of fibrinogen molecules after being activated by ADP, thrombin, or collagen |
What is a severe cutaneous adverse effect of Warfarin? | Warfarin-induced skin necrosis |
What is inhibited by Warfarin? | Synthesis of the vitamin K-dependent clotting factors II, VII, IX, and X, and proteins S and C |
Which hematologic measure is increase using Warfarin? | Prothrombin time |
Does Warfarin affect PT or aPTT? | Prothrombin time |
What serum abnormalities triad characterizes DIC? | Thrombocytopenia, increase clotting time (PT and aPTT), and decreased clotting factors and increased D-dimers |
What causes DIC? | Widespread of microthrombi in small vessels |
Is Multiple Myeloma associated with hyper-or hypocalcemia? | Hypercalcemia |
What is Multiple Myeloma (MM)? | Neoplastic proliferation of monoclonal plasma cells that produce enormous amounts of IgG, resulting in elevated levels of serum proteins |
Which Ig is produced in vast amounts in MM? | IgG |
Which neoplasm is associated with increased amounts of IgG produced by plasma cells? | Multiple Myeloma |
What are the blood finings of CML? | Leukocytosis, anemia, and basophilia |
Which translocation is associated with CML? | t (9;22) |
What is a primary role of Basophils? | Mediate allergic response through IgE receptor activation |
Which PMN is known to mediate allergic reactions through IgE receptor activation? | Basophils |
What is the most common presentation of Pulmonary embolism? | Pleuritic chest pain, tachypnea, and often DVT |
What is the MCC of inherited thrombocytopenia? | Factor V Leiden mutation |
Which inherited condition is associated the increased risk of recurrent thrombotic events secondary to decreased cleavage of factor V and by protein C? | Factor V Leiden mutation |
How is Vitamin K deficiency presented? | Easy bruising and a propensity for bleeding, along with increase in PT and PTT |
Which broad spectrum antibiotics present the highest risk for eventually developing Vitamin K deficiency? | Cephalosporins |
What is the role or function of Vitamin K? | Carboxylation of glutamine and residues |
Which vitamin deficiency would lead to impaired carboxylation of glutamine and residues? | Vitamin K deficiency |
What are the associated levels of Ferritin and TIBC in Iron deficiency anemia? | Decreased MCV and Ferritin, and increased TIBC |
What is the most likely anemia of an infant that is exclusively breastfed and shows decreased activity? | Iron deficiency anemia |
What are the histological findings of skin biopsy of Sezary syndrome? | Lymphocytes with "cerebriform" nuclei, and elevated CD4+ count |
What are the clinical findings of Sezary syndrome? | Erythroderma, generalized lymphadenopathy, and pruritus |
What are the most common clinical findings of T-cell acute lymphoblastic lymphoma? | Anemia, thrombocytopenia, leukocytosis, a mediastinal mass |
How are the lymphoblast in T-cell acute lymphoma described in biopsy? | Cells with light-blue, scanty, a nongranular cytoplasm |
What are the causes of hemochromatosis? | Increased effacing of dietary iron absorption and increased hepatic iron storage |
What are the main clinical symptoms of Hereditary Hemochromatosis? | Hepatosplenomegaly, weakness, lethargy, and joint pain |
How is Hemochromatosis confirmed? | Hemosiderin deposits on the liver biopsy |
Is TIBV increased or decreased in the blood of a patient with Hemochromatosis? | Decreased TIBC |
Which serum iron-related levels increased in hemochromatosis? | Serum iron and ferritin |
What is the most common presentation of Follicular lymphoma? | Middle-aged adult with waxing and waning painless lymphadenopathy |
What is the associated gene (protein) of Follicular lymphoma? | BCL-2 |
What is the associated translocation of Follicular lymphoma? | t (14;18) |
What kind of gene is BCL-2? | Antiapoptotic gene |